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Cribb v. Sulzer Metco (US) Inc.- Courts Entertain Motion to Determine Future Medicals

Oct 8, 2012

Cribb vs. Sulzer Metco (US) Inc. – 2012 – U.S. Dist. Court for Eastern Dist. of NC Facts:  Plaintiff, a Medicare beneficiary, settled his claim with Defendant.  Concerned over how to protect Medicare’s interest, Plaintiff filed a Motion in U.S. District court...

U.S. Wins in Lawsuit Against Medicare if Administrative Remedies Are Not Exhausted

Jun 6, 2011

Filing a lawsuit against Medicare to adjudicate the reimbursement claim owed under the Medicare Secondary Payer Act (MSP) requires navigation of a labyrinth of steps before it will be accepted by a Court. The starting point is a determination by Medicare of what it is...

Recent Posts

  • Medicare Updates: CMS NGHP Beneficiary Recovery Webinar & Medicare conditional payment “round-up”
  • CMS releases updated Medicare Secondary Payer Recovery Portal (MSPRP) user guide (Version 5.0) – updated functionality made to the claims listing interface
  • CMS Releases New WCMSA Reference Guide (Version 3.2)
  • CMS releases new NGHP Section 111 User Guide (Version 6.0) and updated accepted/excluded ICD code listings
  • CMS discusses conditional payment appeal issues on its NGHP Applicable Plans webinar

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